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Membership FAQs

OVERVIEW AND MEMBERSHIP BENEFITS


How did the Trinity County Life Support (TCLS) membership programs get started?

Trinity County Life Support is a local non-profit, providing advanced life support service since 1993.  Our membership programs have been created to give our community peace of mind. The high cost of health care has resulted in high deductibles, leaving many people with a significant balance after insurance.  With Membership, your insurance reimbursement is accepted as payment in full, with no out-of-pocket expense to the member. 

You never know when a medical emergency will arise. When it does, timely access to quality patient care and safe transport is essential to a healthy community.


Trinity County Life Support offers TWO different memberships:

(Only Available through Trinity County Life Support)

 

Trinity County Life Support (Ground Ambulance Only)

Life Support Association, Trinity County Life Support ground ambulance membership, has been available for many years and continues to be available as a stand-alone membership. This is not insurance.

 

Trinity County Medical Transport Alliance (Ground and Air Ambulance)

Trinity County Life Support realized that the residents of our county were asking for a membership that would not only include ground ambulance, but also include air ambulance for medical emergencies that meets certain criteria, such as a heart attack, stroke or a traumatic injury.  In 2015, our membership team worked closely with PHI Air Medical and REACH Air Medical AirMedCare Network memberships. They are the medical air ambulances serving Trinity County.  This collaboration created the Trinity County Medical Transport Alliance (TCMTA) membership, consolidating ground and air ambulance into one membership package. The TCMTA membership is only offered to the residents of Trinity County. *Proof of residency is required (Ex: Copy PUD bill, property title...). This is not insurance.

 

*Trinity County Life Support, PHI Air Medical, and REACH AirMedCAre Network are separate business entities. They are not partners or one business entity, and operate their memberships within their own business guidelines and identities.

 

Visit Air Ambulance websites about their memberships guidelines & FAQs:

 

PHI Air Medical website http://phiairmedical.com/

REACH AirMedCare Network website http://www.airmedcarenetwork.com/

 

What is the benefit of membership to you?

Although you do not have to be a member to be transported, membership offers several important benefits:
First, as one of Trinity County Life Support (Ground Only) or Trinity County Medical Transport Alliance (Ground & Air) members, Trinity County Life Support, PHI Air Medical*, or AirMedCare Network* Providers will work on your behalf with your benefits provider to secure payment for your ground or flight, with any uncovered amounts considered to be fully prepaid. As such, members who are transported by Trinity County Life Support*, PHI Air Medical*, or AirMedCare Network* will not receive a bill for the ground or flight. Importantly, your membership is valid in each network's service areas, so you are covered while traveling in those areas. If EMS agencies determine air medical transport is needed, they will dispatch PHI Air Medical* or AirMedCare Network* providers.


Second, becoming a Trinity County Life Support or Trinity County Medical Transport Alliance member is a good way to support the health care needs of your local community. Our membership base helps Trinity County Life Support operate in our rural areas within Trinity County where having a quick response time to critical medical situations can save lives.

* Trinity County Life Support is attached with both memberships.

*PHI Air Medical and AirMedCare Network are attached to the Trinity County Medical Transport Alliance membership (TCMTA).


How can a membership be so inexpensive and yet still be able to cover the costs of the flights?

An individual's membership fee covers only a small fraction of the cost of a ground and/or ground and flight. Our membership support helps subsidize our program, but our primary revenue is derived from our transports, the vast majority of which are non-members; only a fraction of the patients we transport are Trinity County Life Support (Ground Only) or Trinity County Medical Transport Alliance (Ground & Air) members.


What is included in my membership?

Medically necessary, emergency transport (when available) by a Trinity County Life Support (Ground Only) or Trinity County Medical Transport Alliance (Ground & Air) provider to the closest appropriate medical facility for medical conditions deemed by an attending medical professional to be life- or limb-threatening, or that could lead to permanent disability. Members receive a welcome packet complete with auto stickers and membership cards. Members have the peace of mind knowing that they will receive no out-of-pocket expense for their ground and/or ground & air ambulance.


Can I cover all of my family on the membership?

With a Trinity County Life Support (Ground Only) or Trinity County Medical Transport Alliance (Ground & Air) household membership, any person or persons who reside under one (residential) roof can be covered. In the event we have a member who lives in a duplex or apartment complex, we designate the primary member’s residence/address, and that is considered the “one roof”. Undergraduate college students can be covered under their parent’s membership as well as anyone previously residing in the household who is then moved to a permanent care facility.


Is there a limit to the number of transports a member can have in a year?

There is no limit to the number of emergency transports a member may take in a year. Each transport is handled the same way and must be a medical necessity is defined as a specific need for ambulance transportation to or from a healthcare facility (911 emergency or inter-faculty transfer), where use of other forms of transportation would be medically inappropriate or detrimental to the patient. 

*Abuse of the service, if found to exist, may result in termination of membership.


If I am a member and end up being transported by another ground ambulance or another air ambulance service, who is responsible for the bill?

If a Trinity County Life Support, PHI Air Medical, or AirMedCare Network Provider does not transport you, you will be responsible for payment of the bill. The Trinity County Life Support or Trinity County Medical Transport Alliance membership program/s only covers transports provided by Trinity County Life Support, PHI Air Medical, or AirMedCare Network.


PREPAID PROTECTION FOR MEMBERS

 

Is a membership considered insurance?

No. Trinity County Life Support, PHI Air Medical, AirMedCare Network are not insurance companies. A Trinity County Life Support or Trinity County Medical Transport Alliance  membership is not an insurance policy and cannot be considered as secondary insurance coverage or as supplemental coverage to any insurance policy. Membership provides prepaid protection against covered Trinity County Life Support, PHI Air Medical, AirMedCAre Network provider transportation costs that exceed a member's health insurance or medical benefits.


Does my primary insurance cover the cost of a Trinity County Life Support / Trinity County Medical Transport Alliance provider transport? If so, how much?

This answer varies, with each insurance company offering different plans and coverage.  It is up to your individual insurance company as to whether they will cover the cost of a transport, as well as to the amount of economic burden placed on the patient via a co-pay or deductible.  We recommend that you contact your insurance company directly to obtain detailed coverage information.

My insurance company says they will cover 100%, so why do I need this membership?

Most insurance companies will pay 100% of what they deem an allowable amount for emergent ground and/or ground and flight, which does not necessarily mean that the total cost of the transport will be covered. Additionally, people frequently change insurance companies and plan designs. You will want to check with your individual insurance company to find out exactly how much they will cover in the case of a Trinity County Life Support or Trinity County Medical Transport Alliance transport. Lastly, your insurance may decide that the ground or flight does not fit a specific parameter covered under your policy and deny payment.  Membership will cover the cost of the ground and/or ground & flight memberships for you, even if your insurance does not.

If I have Medi-Cal or Medicaid, do I need a membership?

No.  Some state laws prohibit Medi-Cal or Medicaid beneficiaries from being offered membership or accepted into membership programs.  As part of our application process, members certify to Trinity County Life Support that they are not Medi-Cal or Medicaid beneficiaries, with Trinity County Life Support, accepting Medi-Cal or Medicaid as full payment for services rendered.


If I have Medicare and a supplemental policy, do I need a membership?

The answer varies, depending upon the nature of your transport and your supplemental insurance provider.  In many cases, Medicare and the supplemental insurance coverage should pay for the cost of transport if it is medically necessary and if Medicare believes you were taken to the closest appropriate hospital. However, we have seen cases where the supplemental insurance provider does not cover a remaining balance after Medicare has paid its portion. Many seniors have said they want a membership even if they have complete coverage, in the event that their insurance coverage changes in the future or if the claim is denied.  Often times supplemental insurance will not pay if your primary denies.  In those circumstances, membership is very beneficial.


PROVISION OF SERVICES

 

If I have a medical emergency, should I call the Trinity County Life Support Business Office line or the local 911 service?

Call your local 911 service. The 911 dispatchers are trained to get specific information about the medical emergency from the caller and determine what type of medical transportation best fits the situation, so the best option is to always call the local 911 service first. The local service is more familiar with your location, as well as the availability of the local emergency resources.


How would emergency personnel know that I am a Trinity County Life Support / Trinity County Medical Transport member?

When calling emergency personnel, you may make the 911 ground or air ambulance service aware that you are a Trinity County Life Support (Ground ONLY) / Trinity County Medical Transport (Ground & Air) member so that in the event they plan to request an air ambulance, they know your preference is for either PHI Air Medical or AirMedCare Network provider.  Members receive an identification card and stickers for your vehicle. All of these items allow emergency personnel to identify that you are a Trinity County Life Support (Ground Only) / Trinity County Medical Transport (Ground & Air) member.  Regardless of whether or not emergency personnel know that you are a Trinity County Life Support or Trinity County Medical Transport Alliance member, we may still be called to transport you. As earlier indicated, most of our transports are non-member transports.


Who determines if and when I will be transported?

If your medical emergency meets certain criteria, such as a heart attack, stroke or a traumatic injury and the 911 dispatcher determines you would benefit from emergent ground or air medical transport, they may dispatch a ground and/or air ambulance to your emergency. Hospital-to-hospital transfers are ordered by physicians.

Does a membership ensure that Trinity County Life Support transport me, no matter what type of medical care I need?

Ground and/or ground & air ambulances are valuable and scarce resources that should be reserved for those times when a patient is facing medical necessity defined as a specific need for ambulance transportation to or from a healthcare facility (911 emergency or inter-facility transfer), where use of other forms of transportation would be medically inappropriate or detrimental to the patient.  PHI Air Medical or AirMedCare Network Providers will not transport patients by air if air transportation is not believed to be appropriate.


Who decides where to transport the patients?

When a ground and /or ground and air ambulance provider is called, time is of the essence. Patients in life threatening situations often need specialty centers to provide the interventions needed. Trinity County Life Support, PHI Air Medical, and/or AirMedCare Network Providers will take a patient to the closest appropriate medical facility as determined by physicians or EMS personnel. Whenever possible, physicians or EMS personnel consult with the patient or the patient's families as these decisions are being made.


Will Trinity County Life Support, PHI Air Medical, or AirMedCare Network always be available if I need one?

There may be times when the ground and/or ground and Flight ambulance in your area is committed to assisting another patient transport or is out of service for maintenance or inclement weather.

Are there other reasons why a Trinity County Life Support, PHI Air Medical, or AirMedCare Network ground or air ambulance might not be able to transport?

The primary determinant of whether to accept a ground and/or ground & flight is always the safety of the patient and the medical crews.

Trinity County Life Support crews are on duty and available 24 hours a day, 7 days a week. We may be unable to respond within a medically appropriate period due to unexpected high call volume, road closures, inclement weather, equipment limitations, or mechanical failure.  In that event, mutual aid may be requested from a neighboring County.

PHI Air Medical Air Ambulance makes every effort to respond to requests from our members. We have flight crews and aircraft on duty and available 24 hours a day, 7 days a week. However, one of the following situations could result in PHI Air Medical being unavailable to respond: PHI Air Medical may be dedicated to a prior patient transport, weather conditions may prevent flying in your area, you may be in a location where their aircraft cannot land, and you have to be transported to the aircraft by a ground ambulance. PHI Air Medical Membership does not cover ground. PHI Air Medical FAQs

REACH Air Medical Service AirMedCare Network makes every effort to respond. The primary determinant of whether to accept a flight is always the safety of the patient and our medical flight crews. Federal Aviation Administration restrictions prohibit AirMedCare Network provider from transporting patients under certain conditions, such as, but not limited to, flying in inclement weather, equipment manufacturer limitations, maintenance requirements, age or size. AirMedCare Network FAQs

 

COLLABORATION WITH OTHER HEALTHCARE PROVIDERS

What role does Trinity County Life Support play in the emergency services community?

Our crews work and train closely with other EMS agencies and air ambulance services in our service areas. We recognize that good patient care requires a team effort of everyone involved - from first response and law enforcement officials to air ambulance and hospital personnel. We all play separate, but very important roles, in getting the patient to the appropriate medical care.


Does Air Ambulance (PHI Air Medical or AirMedCare Network) work with local ambulances?

Yes. PHI Air Medical and AirMedCare Network Providers work very closely with Trinity County Life Support, and ground EMS agencies. These agencies request PHI Air Medical or AirMedCare Network to transport their patients when medically necessary. PHI Air Medical or AirMedCare Network also provides appropriate training and education for ground EMS agencies.


Is there a special discount for EMS/Fire/Police people?

No. Trinity County Life Support is strongly committed to complying with all applicable healthcare regulatory guidelines, as well as all rules and regulations governing its participation in both Medicare and state Med-Cal or Medicaid programs. In order to avoid even the appearance on non-compliance with applicable healthcare regulatory guidelines, Trinity County Life Support does not offer discounted memberships to people just because they are healthcare or emergency personnel, given that such special discounts to healthcare or emergency personnel might be viewed as an attempt to influence referrals.


Can other unaffiliated air medical providers honor Trinity County Life Support, PHI Air Medical, or AirMedCare Network memberships?

For other unaffiliated ground or air medical providers, we do not believe so. Federal law prohibits the routine waiver of co-pays for services covered by Medicare, Med-Cal, or Medicaid. However, through a ground and air ambulance membership program, membership fees are collected in lieu of the collection of co-pays ("co-pays" is used to refer to all types of patient cost-sharing amounts, including co-payments and deductibles). OIG guidance provides that where membership fees collected from members (or members who are Medicare beneficiaries) "reasonably approximate" the amounts that these individuals would expect to spend for cost-sharing amounts over the period covered by the membership agreement, there is, essentially, no impermissible waiver of co-pays. Therefore, where a specific ground and air ambulance supplier (such as Trinity County Life Support, PHI Air Medical, or AirMedCare Network) operates a membership program and does not bill its members for co-pays associated with its ground and/or ground & air transport services, this would not be considered to be a prohibited waiver of the co-pays (i.e., the billing and collection of the membership fee would negate any obligation of the specific ground and/or ground & air ambulance supplier to bill the patient for the co-pay). This analysis does not hold true, however, if a separate, unaffiliated supplier of air transport services (such as an unaffiliated competitor to Trinity County Life Support, PHI Air Medical, or AirMedCare Network) waives a co-pay for services provided to a Trinity County Life Support, PHI Air Medical, or AirMedCare Network member. In this case, the competitor has not collected any membership fees from the Trinity County Life Support, PHI Air Medical, or AirMedCare Network member, because these fees have only been collected by Trinity County Life Support, PHI Air Medical, or AirMedCare Network. As a result, the competitor has not collected any funds from the patient that would justify refraining from billing the Trinity County Life Support, PHI Air Medical, or AirMedCare Network member for the co-pay. In summary, if a competitor provides services to a Trinity County Life Support, PHI Air Medical, or AirMedCare Network member, the competitor is obligated to collect a co-pay from that individual (unless, of course, the Trinity County Life Support, PHI Air Medical, AirMedCare Network member is also a member of a qualifying membership program operated by the competitor).


Will Trinity County Life Support, PHI Air Medical, or AirMedCare Network honor other unaffiliated ground or air medical provider memberships?


No, for the reasons described above. While Trinity County Life Support, PHI Air Medical, or AirMedCare Network appreciates operating under a team-oriented approach to provide the highest levels of patient care and service in the regions it serves, it is strongly committed to complying with all applicable healthcare regulatory guidelines, as well as all rules and regulations governing its participation in both Medicare and state Medi-Cal or Medicaid programs, and therefore cannot honor other unaffiliated air medical provider memberships.

TERMS & CONDITIONS AND ENROLLMENT

What are the terms and conditions of Trinity County Life Support Ground membership and/or Trinity County Medical Transport Alliance membership?

Trinity County Life Support:

MEMBERSHIP BENEFITS: Trinity County Life Support (TCLS) members pay nothing out of pocket for medically necessary ambulance services. Medical necessity is defined as a specific need for ambulance transportation to or from a healthcare facility (911 emergency or interfaculty transfer), where use of other forms of transportation would be medically inappropriate or detrimental to the patient.

 I understand that TCLS can require physician certification of medical necessity.

I understand that membership is not an insurance policy, nor is it meant to be a substitute for health insurance. It does not compensate another ambulance company providing service to me or my family. I understand this might occur when Trinity County Life Support is unable to respond within a medically appropriate time frame due to unexpected high call volume, road closures, or vehicle problems.

PERSONS COVERED: I understand that my membership covers those persons who permanently reside in members household. A "household" is defined as all persons who permanently reside at the "Head of Household's" physical address. New household members may be added, household members may be deleted or the household location may be changed by written notice to Trinity County Life Support, effective the day following receipt by Trinity County Life Support of such notice.

I understand if I have Medi-Cal or Medicaid, I have full coverage and do not need membership.

SERVICE AREA: The Service Area for Trinity County Life Support is shown at right, in tan shading, and includes the towns of: Big Bar, Big Flat, Coffee Creek, Covington Mill, Del Loma, Douglas City, Forest Glen, Hayfork, Helena, Hyampom, Junction City, Lewiston, Minersville, Peanut, Post Mountain, Trinity Center, Weaverville, and Wildwood.  I understand membership is available only to residents within the TCLS primary service area.

 

ASSIGNMENT OF BENEFITS:

I understand that my membership is not an insurance plan and that Trinity County Life Support will bill and receive payments from my insurance for the balance. This may include medical, health, supplemental workers’ compensation, liability, auto or homeowner’s insurance policies and plans, Medicare, and/or other third party payers. I hereby assign all such insurance benefits or payments for ambulance services covered by this agreement to Trinity County Life Support.

I understand that if I receive direct insurance payment for ambulance service provided by TCLS, I will immediately forward that payment to Trinity County Life Support. If I do not, I understand my membership may be terminated and I would then be billed full charges for services received.

I also understand that abuse of the service, if found to exist, may result in termination of membership.

 EFFECTIVE DATES & RENEWAL:

Membership is effective within seven (7) business days of receipt of payment. The waiting period will be waived for unforeseen events.

Membership fees and services are subject to periodic review and update. Any benefit modification and/or rate change will be outlined and applied at annual renewal.

Memberships are non-transferrable.

 LIFETIME SIGNATURE AUTHORIZATION:

To facilitate processing, I authorize the release to Trinity County Life Support Service, the Centers for Medicare and Medicaid Services, or other insurer of any medical information or documentation held by anyone necessary to process a claim now or in the future, and further assign and authorize such payments to Trinity County Life Support. I permit a copy of this authorization to be used in place of the original.

 

Trinity County Medical Transport Alliance Ground & Air Ambulance Membership:

 

Trinity County Life Support:

 

(See Disclosure for Ground Ambulance [Above])

 

PHI Air Medical:
 

AGREEMENT FOR MEMBERSHIP: This Air Ambulance Membership Plan Coverage Agreement ("Agreement") is entered into between PHI Inc., doing business as PHI Air Medical (referred to herein as "PHI Air Medical"), based at 801-D Airport Way, Modesto, CA 95354, and based at 10713 Airport Rd, Columbia, CA 95310, and doing business as Mercy Air Ambulance (referred to herein as "Mercy Air"), based at, 5900 Old Oregon Trail, Redding, CA 96002, and the signatory on the 2011-2012 PHI Air Medical / Mercy Air Membership Plan Application ("Application"). The Membership Office is located at 2800 N 44th St Suite 800, Phoenix AZ.

 

By signing the Application, I agree, on behalf of myself and the residents of my household listed on the Application, to abide by the terms of PHI Air Medical / Mercy Air's 2010-2011 Ambulance Membership Plan (the "Plan"), as set forth in this Agreement. Coverage will begin five (5) days after PHI Air Medical / Mercy Air receives my application and payment, and will expire midnight on the last day of the month payment is received of the following year. There is no waiting period for renewal applications.

 

PERSONS COVERED: The Plan covers me and the household members listed in my Application, so long as they remain full-time residents of the specified household. New household members may be added, household members may be deleted or the household location may be changed by written notice to PHI Air Medical / Mercy Air, effective the day following receipt by PHI Air Medical / Mercy Air of such notice. All persons covered by the Plan shall be referred to herein as "Plan Members" or "Members." References to "I" or "me" and similar references shall be construed as including all Members.

 

CONDITIONS OF MEMBERSHIP: As a condition of obtaining the benefits of membership and Plan coverage, I must submit a complete, accurate Application and pay PHI Air Medical / Mercy Air a non-refundable membership fee in the amount specified in the Application. In the event of any change in the insurance coverage or status of any individual named in the Application, I agree to notify PHI Air Medical / Mercy Air within ten (5) days and, if the change results in the affected individual owing an additional membership fee, I agree to pay the amount upon receipt of an invoice from PHI Air Medical / Mercy Air.

 

PAYMENT FOR SERVICES: I understand that I am responsible for payment for any services provided to me by PHI Air Medical /Mercy Air, but that my membership in the Plan will assist me by discharging that part of my financial liability that is not covered by insurance for those PHI Air Medical / Mercy Air services specified in this Agreement. This benefit is subject to certain limitations specified in this Agreement. As a condition of receiving this benefit, I hereby assign to PHI Air Medical / Mercy Air all rights and benefits that I or the other Members in my household have under any and all medical, health, supplemental, worker's compensation, liability, auto or homeowner's insurance policies or plans, or from other third party payers or sources which provide coverage or would otherwise pay for air ambulance services covered by this Agreement. Such payment sources are collectively referred to in this Agreement as "Insurance." I authorize payment of all Insurance benefits or payments for ambulance services covered by this Agreement to PHI Air Medical / Mercy Air.

 

I understand that PHI Air Medical / Mercy Air will, whenever it deems it feasible, file claims for and directly collect the benefits payable from Insurance, up to the amount of PHI Air Medical / Mercy Air's charges for its services. When requested by PHI Air Medical / Mercy Air, I agree to complete any forms and take any other reasonable action that may be necessary to collect such amounts. If I or anyone on my behalf receives any Insurance or other third party payments for air ambulance services provided by PHI Air Medical / Mercy Air, I will promptly turn over those payments to PHI Air Medical / Mercy Air. I agree to pay PHI Air Medical / Mercy Air for any services it provides that are not covered by this Plan.

BENEFITS: Payment of the membership fee and compliance with the terms of this Agreement entitle Members to the following benefits within the Service Area as specified below:

a. Emergency air ambulance services: Members who receive medically necessary emergency air ambulance services from PHI Air Medical / Mercy Air shall pay nothing out of pocket, except as specified herein.

b. Inter-facility air ambulance services. Members who receive medically necessary inter-facility air ambulance services from PHI Air Medical / Mercy Air shall pay nothing out of pocket, except as specified herein.

LIMITATIONS and EXCLUSIONS: Membership benefits only extend to medically necessary rotary wing (helicopter) and fixed wing (airplane) air ambulance services provided by PHI Air Medical / Mercy Air provided in the Service Area as described below. No benefits are provided for ground ambulance services, even if provided as a means of facilitating air ambulance services. Subject to the foregoing, in determining whether any emergency or inter-facility air ambulance service is "medically necessary," PHI Air Medical / Mercy Air reserves the right to require a certificate of medical necessity from a qualified physician in determining medical necessity. As a condition of receiving the full benefit of membership with respect to any ambulance service provided by PHI Air Medical / Mercy Air, the ambulance service must be covered by the Member's primary Insurance coverage. Some insurance programs require the insured person to obtain prior authorization before receiving ambulance services. Some plans require certain documentation from the insured within a specified time limit, or the plans deny or reduce coverage for ambulance services. Services outside the Service Area are or beyond the mileage limitations specified below are not covered. PHI Air Medical / Mercy Air shall apply the standards of the Medicare program. Medi-Cal participants are not eligible for membership.

 

SERVICE AREA: The Service Area for California covers the Counties of: Alameda, Alpine, Amador, Butte, Calaveras, Colusa, Contra Costa, Del Norte, El Dorado, Fresno, Glenn. Humboldt, Inyo, Kings, Tulare, Lake, Lassen, Madera, Marin, Mariposa, Mendocino, Merced, Modoc, Mono, Monterey, Napa, Nevada, Placer, Plumas, Sacramento, San Benito, San Francisco, San Joaquin, San Mateo, Santa Clara, Santa Cruz, Shasta, Sierra, Siskiyou, Solano, Sonoma, Stanislaus, Sutter, Tehama, Trinity, Tuolumne, Yolo, Yuba, and other counties within the continental United States, in which PHI Air Medical / Mercy Air has a full-time air ambulance base. Only the first 200 miles of rotary-wing (helicopter) transport are covered. Only the first 600 miles of fixed-wing (airplane) transport, which shall be deemed to be within the Service Area are covered.

TERMINATION AND RENEWAL OF COVERAGE: PHI Air Medical / Mercy Air may terminate this Agreement and the participation of any Membership the Plan for failure to comply with the terms of this Agreement. PHI Air Medical / Mercy Air reserve the right to discontinue its Ambulance Plan at any time upon notice to Members. In such event, PHI Air Medical / Mercy Air shall return a pro rata portion of the membership fee. PHI Air Medical / Mercy Air also reserves the right to unilaterally modify the terms of this Plan, including but not limited to the membership fee to be charged to Members who join or renew their membership after the effective date of such change. Subject to the foregoing, PHI Air Medical / Mercy Air shall renew membership on an annual basis upon completion by a Member of an Application or Renewal Application and payment of the specified Membership Fee. Renewal contracts may include changes in coverage.

 

REACH Air Medical Services/AirMedCare Network:

AirMedCare Network is an alliance of affiliated air ambulance providers* (each a “Company”). An AirMedCare Network membership automatically enrolls you as a member in each Company’s membership program. Membership ensures the patient will have no out-of-pocket
flight expenses if flown by a Company by providing prepaid protection against a Company’s air ambulance costs that are not covered by a member’s insurance or other benefits or third party responsibility, subject to the following terms and conditions:

1. Patient transport will be to the closest appropriate medical facility for medical conditions that are deemed by AMCN Provider attending medical professionals to be life- or limb-threatening, or that could lead to permanent disability, and which require emergency air ambulance transport. A patient’s medical condition, not membership status, will dictate whether or not air transportation is appropriate and required. Under all circumstances, an AMCN Provider retains the sole right and responsibility to determine whether or not a patient is flown.

2. AMCN Provider air ambulance services may not be available when requested due to factors beyond its control, such as use of the appropriate aircraft by another patient or other circumstances governed by operational requirements or restrictions including, but not limited to, equipment manufacturer limitations, governmental regulations, maintenance requirements, patient condition, age or size, or weather conditions.
FAA restrictions prohibit most AMCN Provider aircraft from flying in inclement weather conditions. The primary determinant of whether to accept a flight is always the safety of the patient and medical flight crews. Emergent ground ambulance transport of a member by an AMCN Provider will be covered under the same terms and conditions.

3. Members who have insurance or other benefits, or third party responsibility claims, that cover the cost of ambulance services are financially liable for the cost of AMCN Provider services up to the limit of any such available coverage. In return for payment of the membership fee, the AMCN Provider will consider its air ambulance costs that are not covered by any insurance, benefits or third party responsibility available to the member to have been fully prepaid. The AMCN Provider reserves the right to bill directly any appropriate insurance, benefits provider or third party for services rendered, and members authorize their insurers, benefits providers and responsible third parties to pay any covered amounts directly to the AMCN Provider. Members agree to remit to the AMCN Provider any payment received from insurance or benefit providers or any third party for air medical services provided by the AMCN Provider, not to exceed regular charges. Neither the Company nor AirMedCare Network is an insurance company. Membership is not an insurance policy and cannot be considered as a secondary insurance coverage or a supplement to any insurance coverage. Neither the Company nor AirMedCare Network will be responsible for payment for services provided by another ambulance service.

4. Membership starts 15‡ days after the Company receives a complete application with full payment; however, the waiting period will be waived for unforeseen events occurring during such time. Members must be natural persons. Memberships are non-refundable and non-transferable.

5. Some state laws prohibit Medicaid beneficiaries from being offered membership or being accepted into membership programs. By applying, members certify to the Company that they are not Medicaid beneficiaries.

6. These terms and conditions supersede all previous terms and conditions between a member and the Company or AirMedCare Network, including any other writings, or verbal representations, relating to the terms and conditions of membership.

*Air Evac EMS, Inc. / EagleMed LLC / Med-Trans Corporation /REACH Air Medical Services, LLC — These terms and conditions apply to all AirMedCare Network participating provider membership programs, regardless of which participating provider transports you.
‡In Nebraska, waiting periods are not allowed; however, a member cannot purchase a membership at the time of transport.

How do I enroll?
You can enroll by calling 530-623-2500 or go to our website, www.tcls.org, for an application. You may also enroll by contacting our local membership coordinator, Tiffany Wong.

When does my membership take effect?
Membership starts 7 days after Trinity County Life Support receives a complete application with full payment; however, the waiting period will be waived for unforeseen events occurring during such time.
Information/Data as of April 2017
California Residents


"A Word from the California Department of Managed Health Care:"

(A) BEFORE YOU PURCHASE: If you are currently enrolled in a health maintenance organization (HMO) or other health insurance, the benefits provided by an Ambulance Plan may duplicate the benefits provided by your HMO or other health insurance. If you have a question regarding whether your HMO or other health insurance offers benefits for ambulance services, you should contact that other company directly.


(B) WARNING: This Ambulance Plan is not an insurance program. It will not compensate or reimburse another ambulance company that provides emergency transportation to you or your family. This may occur when the 911 Emergency System has independently determined that another company could provide more expeditious service or is next in the rotation to receive a call. This might also occur when this Ambulance Plan is unable to perform within a medically appropriate time frame due to a mechanical or maintenance problem or being on another call.


(C) COMPLAINTS: For complaints regarding this Ambulance Plan, or if you have questions regarding the Plan, first attempt to call REACH/CALSTAR/Cal-Ore at 1.800.793.0010. If REACH/CALSTAR/Cal-Ore fails to resolve the complaint to your satisfaction, contact the Department of Managed Health Care at 1-888-466-2219. The Department’s website is http://www.healthhelp.ca.gov. You may obtain complaint forms and instructions online.


(D) OPERATING UNDER CONDITIONAL EXEMPTION: This Ambulance Plan is operating pursuant to an exemption from the Knox-Keene Health Care Service Plan Act of 1975 (Health and Safety Code section 1340 ct seq.).

 

Air Ambulance FAQs & Membership Benefits:

 

PHI Air Medical

REACH / AirMedCare Network

 

For more information, please feel free to contact:

Tiffany Wong
Trinity County Life Support Membership Coordinator

610 Washington Street
P.O. Box 2907
Weaverville CA 96093

Phone: 530-623-2500
Fax: 530-623-2614
Email:  membership@tcls.org

 

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